EP3600220A1 - Système d'hydrogel à base de polyphénols/peg pour vernis dentaire - Google Patents

Système d'hydrogel à base de polyphénols/peg pour vernis dentaire

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Publication number
EP3600220A1
EP3600220A1 EP18721522.3A EP18721522A EP3600220A1 EP 3600220 A1 EP3600220 A1 EP 3600220A1 EP 18721522 A EP18721522 A EP 18721522A EP 3600220 A1 EP3600220 A1 EP 3600220A1
Authority
EP
European Patent Office
Prior art keywords
poly
fluoride
acid
hydrogel system
dental varnish
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP18721522.3A
Other languages
German (de)
English (en)
Other versions
EP3600220B1 (fr
Inventor
Amit Jha
Thomas Simonton
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Dentsply Sirona Inc
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Dentsply Sirona Inc
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Publication date
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Publication of EP3600220A1 publication Critical patent/EP3600220A1/fr
Application granted granted Critical
Publication of EP3600220B1 publication Critical patent/EP3600220B1/fr
Active legal-status Critical Current
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00—Preparations for dentistry
    • A61K6/80—Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/831—Preparations for artificial teeth, for filling teeth or for capping teeth comprising non-metallic elements or compounds thereof, e.g. carbon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00—Preparations for dentistry
    • A61K6/20—Protective coatings for natural or artificial teeth, e.g. sealings, dye coatings or varnish
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00—Preparations for dentistry
    • A61K6/80—Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/84—Preparations for artificial teeth, for filling teeth or for capping teeth comprising metals or alloys
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00—Preparations for dentistry
    • A61K6/80—Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/884—Preparations for artificial teeth, for filling teeth or for capping teeth comprising natural or synthetic resins
    • A61K6/891—Compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00—Cosmetics or similar toiletry preparations
    • A61K8/02—Cosmetics or similar toiletry preparations characterised by special physical form
    • A61K8/04—Dispersions; Emulsions
    • A61K8/042—Gels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00—Cosmetics or similar toiletry preparations
    • A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/19—Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
    • A61K8/20—Halogens; Compounds thereof
    • A61K8/21—Fluorides; Derivatives thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61Q—SPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q11/00—Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses

Definitions

  • the present disclosure generally relates to a dental treatment composition, more particularly, a dental varnish composition useful in effective fluoridation, enhancement of remineralization the tooth enamel, and hypersensitivity through occlusion of dentine tubule.
  • the dental varnish composition includes a hydrogel system and at least one fluoride source, wherein the dental varnish is water soluble.
  • the hydrogel system includes at least one polyphenol having at least one phenol group, at least one polymer, and a metal ion.
  • the disclosure also provides methods of making such a dental varnish composition.
  • Dental caries and hypersensitivity are two very common dental diseases. It is known that dental varnishes such as fluorides are capable to treat both dental caries and hypersensitivity. Fluorides form the protective layer of CaF2 on the tooth. As a result, dissolving of the tooth enamel, which chiefly consists of hydroxyapatite, under attack by acid is slowed down by forming acid resistant fluoroapatite. Fluorides also speed up the crystallization of hydroxyapatite and prevent further demineralization.
  • Commonly used fluoride sources are amino fluorides, stannous fluoride, acidulated phosphate fluoride, sodium monofluorophosphate and sodium fluoride. All these have certain advantages and limitations, for example amino fluorides such as ⁇ ', ⁇ '-tri- (polyoxyethylene)-N-hexadecylpropylene diamine dihydrofluoride; 9- octadecylamine hydrofluoride, hexadecylamine hydrofluoride and bis-(hydroxyethyl)- aminopropyl-Nhydroxyethyloctadecylamine dihydrofluoride, because of their cation activity, have a characteristic taste, which is difficult to mask.
  • amino fluorides such as ⁇ ', ⁇ '-tri- (polyoxyethylene)-N-hexadecylpropylene diamine dihydrofluoride; 9- octadecylamine hydrofluoride, hexadecylamine hydro
  • NaF sodium fluoride
  • Sodium fluorides have a basic pH, chemically stable when stored in plastic or polythene containers. NaF dissolves well in water and quickly releases very high fluoride concentrations. Sodium fluoride delivers a highly reactive fluoride ion; therefore, formulating it with a compatible abrasive is critically important for achieving the anti- caries benefit. These materials are not irritant to the gingival, and do not cause discoloration to teeth.
  • Acidulated phosphate fluoride on other hand is composed of NaF to which acid is added.
  • concentration of fluoride is 1.23%, the acid is in form of
  • orthophosphoric acid the pH is 3.2. It is chemically stable when stored in plastic containers, and does not cause discoloration to teeth.
  • the success of any topical fluoridated agent depends on its capability of depositing fluoride ions in the enamel as fluoroapatite and not only calcium fluoride. Compare to NaF, APF efficiently stimulates the fluoroapatite deposition on enamel by higher fluoride ion concentration and lowering the pH. Increase in the concentration of fluoride ions lead to formation of calcium fluoride and phosphate, while the presence of acid leads to break down of the outer enamel surfaces and release of calcium and phosphate. In both reactions phosphate formed. The increase in phosphate concentration causes the shift in the equilibrium of the reaction to right side that is in the direction of formation of fluoroapatite as well as hydroxyapatite crystals.
  • NaMFP Sodium monofluorphosphates
  • ionically bound fluoride acts through dissociation of the fluoride ion and the subsequent precipitation of calcium fluoride, the monofluorphosphates ion is probably incorporated into enamel and dentine as a complex ion.
  • Fluoride-containing products like toothpaste, fluoride tray, mouth rinse, tablets, are usually developed for topical applications with various concentrations and
  • Fluoride uptake into enamel is a relatively slow process and takes a longer period of contact, thus fluoride varnishes have been developed which is typically a polymeric coating containing fluoride source that presents the fluoride in close proximity to enamel for prolonged time.
  • Varnish method has additional advantages over the other treatment methods such as prolonged contact of fluoride agent with enamel surface, act as a slow release reservoir; the amount of fluoride permanently retained in the enamel is increased; prevent/ or delay caries progression by the formation of acid resistant fluoroapatite/ or flurohydroxyapatite; minimize the exposure to large quantities of fluoride, these could be applied easily; quickly without the need of professional prophylaxis; eat and drink following applications.
  • Commonly used ingredients in fluoride varnish are sodium fluoride, rosin/and synthetic resin, various solvents, flavor additives, sweetener and pigments.
  • the final varnish composition does not include an organic solvent.
  • At least one polymer and metal ion were used to make a hydrogel system which crosslinks as well as rapidly adheres to a tooth enamel surface when in contact with the tooth enamel in a salivary aqueous environment.
  • a hydrogel system for use in a dental varnish composition.
  • the hydrogel system comprises (a) at least one polyphenol having at least one phenol group; (b) at least one polymer comprising a functional group capable of forming a hydrogen bond with said polyphenol; and (c) a metal ion.
  • the hydrogel system is capable of forming a crosslinked film while simultaneously adhering to an enamel surface of a tooth.
  • a dental varnish composition comprising a hydrogel system and at least one fluoride source, wherein the hydrogel system comprises (a) at least one polyphenol having at least one phenol group; (b) at least one polymer comprising a functional group capable of forming a hydrogen bond with said polyphenol; and (c) a metal ion source.
  • the dental varnish is water soluble.
  • the at least one polyphenol is selected from the group consisting of resveratrol, tannic acid, gallic acid, isoflavones, flavonols, flavones, isoflavonone, flavanones, hydroxycinnamic acids, tocopherol, anthocyanidins, procyanidin, catechin and combinations thereof.
  • the at least one polymer is selected from the group consisting of polyethylene glycol,
  • polyethyleneimine poly(N-isopropylacrylamide) (PNIPAM)
  • PNIPAM poly(N-isopropylacrylamide)
  • polyacrylonitrile polyacrylonitrile
  • polyoxazoline poly(N-vinylpyrrolidone) (PVPON), poly(2-alkyl-2-oxazoline)s, poly(2- methyl-2-oxazoline), poly(2-ethyl-2-oxazoline), polyvinyl alcohol, pluronic, polyacrylic acid, polymethyl meth acrylic acid, poly methyl acrylic acid, Poly(vinylamine)
  • the metal ion source includes a divalent or trivalent metal ion source, and mixtures thereof.
  • the at least one fluoride source is selected from the group consisting of aluminum fluoride, indium fluoride, stannous fluoride, titanium fluoride, amine fluoride, sodium fluoride, hydro fluorosilicate, sodium fluorosilicate, potassium fluoride, disodium monofluorophosphate, acidulated phosphate fluoride, potassium fluoride, and mixtures thereof.
  • the hydrogel system promotes increased adhesion of the varnish composition to a tooth surface.
  • a method of preparing a dental varnish composition comprising: (a) dissolving at least one polyphenol having at least one phenol in a solvent to form a polyphenolic solution; (b) adding an antioxidant and metal ion source to the polyphenolic solution; (c) mixing the polyphenolic solution with a polymer solution to prepare a hydrogel system; (d) removing the solvent from the hydrogel system; and (e) mixing the hydrogel system with a fluoride source to form the dental varnish.
  • the hydrogel system based varnish of the present disclosure has surprisingly shown much better dissolution of fluoride and higher uptake to enamel and an effective fluoridation and enhancement of remineralization of the tooth enamel. It is further expected that the present hydrogel system based varnish offers several advantages over the existing varnish, for example, soluble in aqueous buffers at physiological pH, instead of in a toxic organic solvent; the base polymer system of the varnish is naturally derived and highly biocompatible/and bioactive, instead of being based on a synthetic polymeric resin; the varnish adheres to/crosslinks rapidly to enamel upon contact with the enamel surface in an aqueous environment; there is no need to dry the tooth surface before applying the varnish; low viscosity allows a higher uptake of the varnish components into the enamel and cavities; requires low concentration of fluoride in the varnish.
  • the dental varnish composition including the hydrogel system of the present disclosure may be useful in occlusion of dentine tubule.
  • FIG. 1 Single component polymer system for cohesion and adhesion
  • FIG. 3 Adhesion test performed of Tannic acid/gallic acid/metal ion/PEG based hydrogel system on wet and dry bovine teeth
  • FIG. 4 pH Titration of Tannic acid/gallic acid/metal ion/PEG based complex
  • FIG. 5 Adhesion of varnish containing both stannous fluoride and sodium fluoride on wet bovine teeth; staining with mustard and turmeric
  • FIG. 6 Synthesis of TA GA/PEG system
  • FIG.7 Calcium absorption by Tannic acid/gallic acid/metal ion/PEG based hydrogel system
  • FIG.8 SEM: occlusion of dentinal tubule
  • a dental varnish includes a composition topically applied to the tooth surface for fluoride therapy.
  • a dental varnish includes a high concentration of fluoride.
  • tooth structure and “tooth surface” mean any part of an individual's teeth to which fluoride may be absorbed or bound.
  • tooth structure and tooth surface includes, but is not limited to, tooth enamel, incipient enamel lesions, hydroxyapatite in the enamel, dentin, and cementum.
  • hydrogel system means a physically or chemically crosslinked polymer network with a high water content.
  • the term “remineralization” means crystallization of calcium and phosphate ions into in demineralized tooth enamel.
  • a hydrogel system a dental varnish composition comprising the hydrogel system and methods of using dental varnish composition for effective fluoridation and enhancement of remineralization the tooth enamel, occlusion of dentine tubule and inhibition of dental plaques biofilm.
  • a water soluble polymer or hydrogel system should form a crosslinked film (that is cohesive with itself) while simultaneously adhering to an enamel surface of a tooth when the varnish comes into contact with the enamel, even under wet or damp conditions, and under physiological pH and
  • a hydrogel system for use in a dental varnish, the hydrogel system comprises (a) at least one polyphenol having at least one phenol group; (b) at least one polymer comprising a functional group capable of forming a hydrogen bond with said polyphenol; and (c) a metal ion.
  • the at least one polyphenol is selected from the group consisting of resveratrol, tannic acid, gallic acid, isoflavones, flavonols, flavones, isoflavonone, flavanones, hydroxycinnamic acids, tocopherol, anthocyanidins, procyanidin, catechin and combinations thereof.
  • the at least one polyphenol includes a phenol group selected from the group consisting of catechol, pyrogallol and combinations thereof.
  • the at least one polyphenol having at least one phenol group includes tannic acid (TA) and/or gallic acid(GA).
  • tannic acid and gallic acid are naturally available polyphenolic molecules.
  • the presence of di and tri hydroxyl functional group in tannic acid and gallic acid in the meta and para position of the benzoic acid facilitates high binding affinity to different substrates, including but not limited to electrostatic, hydrogen bonding, and hydrophobic interactions.
  • Pyrogallol groups in tannic acid and gallic acid can form a functional polymeric adhesive by two different approaches.
  • First forming three-dimensional networks through intermolecular hydrogen bonding with aqueous solution of a polymers.
  • both approaches of hydrogel formation are combined in one system to form hydrogel varnish, as shown in FIG. 2.
  • Relative concentration of PEG/TA/GA/metal ions, pH, end functional groups of the PEG, number of PEG arms, are factors that regulate adhesion and cohesive properties of varnish.
  • the molecular basis for adhesion is the reversible coordination of metal oxides, ⁇ - ⁇ interactions with various synthetic polymers, and irreversible covalent bonding to any surface.
  • catechol undergoes pH dependent oxidative reactions by the catechol and pyrogallol/gallol-to-quinone transition. Therefore, tannic acid is a reasonable candidate for the design of a hydrogel system that can function as both an adhesive and cohesive material depending on the external environment.
  • the hydrogel system may include a polymer having a functional group capable of forming a hydrogen bond with the polyphenol.
  • the functional group may be hydroxy, amine, thiol, carboxyl, carbonyl, ester, imine, amide, nitrile or any suitable functional group capable of forming a hydrogen bond with the polyphenol as would be understood by person of ordinary skill in the art.
  • the at least one polymer with hydroxyl group is polyethylene gylcol or polyvinyl alcohol.
  • the at least one polymer includes an amino group, such polymer includes but is not limited to, poly(vinylamine) hydrochloride, poly(L-lysine hydrobromide),poly(allylamine),
  • the at least one polymer with amido group includes but is not limited to, poly (N-ethenylformamide), polyacrylamide (PAM), or poly(hexamethyleneadipamide), poly(hexamethylenesebacamide), polymethacrylamide, poly(N-isopropylacrylamide), and nylon.
  • the at least one polymer may have an imine group, for example a polyethyleneimine.
  • the at least one polymer may have a nitrile group, for example a polyacrylonitrile.
  • the at least one polymer may have a thiol group, for example a poly(ethylene glycol) 2-mercaptoethyl ether acetic acid.
  • the at least one polymer may have a carboxy group, for example the polymer may be, but is not limited to, a polyacrylic acid, a polymethyl meth acrylic acid, a poly methyl acrylic acid, a poly(2-hydroxyethyl methacrylic acid), a poly(lactic acid), and polycarbophil.
  • the at least one polymer with an ester group includes but are not limited to poly(benzyl methacrylate), poly(iso-butyl acrylate), poly(n-butyl acrylate), poly(tert-butyl acrylate), poly(iso-butyl methacrylate), poly(n-decyl acrylate), poly(ethyl acrylate), poly(glycidyl methacrylate), poly(2-hydroxyethyl methacrylate), poly(2-hydroxypropyl methacrylate), poly(lauryl acrylate), poly(octadecyl methacrylate), poly(iso-propyl methacrylate), poly(P-amino ester), and polyester.
  • the at least one polymer may be a macromolecule such as nylon, pullulan, gellan gum, hyaluronic acid, starch, cellulose, chitosan, chitin, xanthan gum, guar gum, dextran, alginate, collagen, gelatin, lignins, carbohydrates, silk, proteins, peptides, and DNA.
  • a macromolecule such as nylon, pullulan, gellan gum, hyaluronic acid, starch, cellulose, chitosan, chitin, xanthan gum, guar gum, dextran, alginate, collagen, gelatin, lignins, carbohydrates, silk, proteins, peptides, and DNA.
  • the polymer is selected from polyethylenegylcol, polyethyleneimine, poly(N-isopropylacrylamide) (PNIPAM), polyoxazoline, polyvinylpyrrolidone) (PVPON), poly(2-alkyl-2-oxazoline)s, poly(2-methyl-2-oxazoline), poly(2-ethyl-2-oxazoline), pullulan, gellan gum, hyaluronic acid and mixtures thereof.
  • PNIPAM poly(N-isopropylacrylamide)
  • PVPON polyvinylpyrrolidone)
  • poly(2-alkyl-2-oxazoline)s poly(2-methyl-2-oxazoline)
  • poly(2-ethyl-2-oxazoline) poly(2-ethyl-2-oxazoline) pullulan
  • gellan gum hyaluronic acid and mixtures thereof.
  • the metal ion source includes a divalent, a trivalent metal ion source, or mixtures thereof. It will be understood that there is no particular limitation to the source of the metal ions.
  • suitable divalent ion source include but are not limited to a salt of calcium, zinc, magnesium, tin, strontium, chromium, manganese, beryllium, barium, cobalt, nickel, lead and copper.
  • salts are selected from the group consisting of calcium chloride, stannous fluoride, stannous chloride, zinc chloride etc.
  • Suitable trivalent ion source include but are not limited to a salt of aluminum, iron, chromium, bismuth, manganese, cobalt and indium.
  • salts are selected from the group consisting of aluminum chloride, aluminum sulfate, iron chloride, iron oxide, and indium fluoride etc.
  • the hydrogel system further includes an anti-oxidant.
  • the anti-oxidant may be selected from the group consisting of boric acid, ascorbic acid, borax, sodium tetra borate, 4,4'-Biphenyldiboronic acid, Benzene-1 ,4-diboronic acid, 2,5-thiophenediylbisboronic acid, sulfur dioxide, uric acid, tocopherol and mixtures thereof.
  • the hydrogel system further includes a solvent.
  • the solvent is selected from the group consisting of water, ethyl alcohol, isopropanol, ethyl acetate, butyl acetate, isoamyl propionate, hexane, heptane, and mixture thereof.
  • the hydrogel system of the present disclosure may be prepared by
  • the at least one polyphenol is selected from the group consisting of resveratrol, tannic acid, gallic acid, isoflavones, flavonols, flavones, isoflavonone, flavanones, hydroxycinnamic acids, tocopherol, anthocyanidins, procyanidin, catechin and combinations thereof.
  • the at least one polyphenol having at least one phenol group includes a tannic acid and gallic acid.
  • the tannic acid and gallic acid are dissolved in a solvent selected from the group consisting of water, ethyl alcohol, isopropanol, ethyl acetate, butyl acetate, isoamyl propionate, hexane, heptane, and mixture thereof.
  • the solvent is ethanol.
  • the solvent may be present in the hydrogel system in the amounts of from about 0% to about 100%, such as from about 5% to about 50%, or from about 5% to about 10% based on total volume of the starting reaction mixture.
  • the tannic acid is present in a concentration of from 0.005 g/ml to 2.8 g/ml based on total volume of the hydrogel system, such as in the range of from 0.01 g/ml to 2g/ml or in the range of from 0.1 g/ml to 0.5 g/ml.
  • the gallic acid is present in a concentration of from 0.005 g/ml to 0.175 g/ml based on total volume of the hydrogel system, such as in the range of from 0.01 g/ml to 0.1 g/ml or in the range of from 0.02 g/ml to O.Og/ml.
  • the metal ion source includes a divalent, trivalent metal ion source, or mixtures thereof.
  • Suitable divalent ion sources include, but are not limited to, a salt of calcium, zinc, magnesium, tin, strontium, chromium, manganese, beryllium, barium, cobalt, nickel, lead and copper.
  • Suitable trivalent ion sources include but are not limited to, a salt of aluminum, iron, chromium, bismuth, manganese, cobalt and indium.
  • the metal ion source may be aluminum chloride.
  • the metal ion source is present in a concentration of from 0 g/ml to 1.0 g/ml based on total volume of the hydrogel system; such as in the range of from 0.01 g/ml to 0.5 g/ml or in the range of from 0.05 g/ml to 0.1 g/ml.
  • the hydrogel system further includes an anti-oxidant.
  • the anti-oxidant may be selected from the group consisting of boric acid, ascorbic acid, borax, sodium tetra borate, 4,4'-Biphenyldiboronic acid, Benzene-1 ,4-diboronic acid, 2,5-thiophenediylbisboronic acid, sulfur dioxide, uric acid, tocopherol and mixtures thereof.
  • the antioxidant may be added in a concentration of from 0.01 to 10 weight percent based on total volume of the hydrogel system; such as in the range of 0.05 from to 5 weight percent or in the range of from 0.1 to 1 weight percent of total varnish.
  • the polymer is selected from the group consisting of polyethylenegylcol, polyethyleneimine, poly(N-isopropylacrylamide) (PNIPAM), polyacrylonitrile, polyoxazoline, poly(N- vinylpyrrolidone) (PVPON), poly(2-alkyl-2-oxazoline)s, poly(2-methyl-2-oxazoline), poly(2-ethyl-2-oxazoline), polyvinyl alcohol, pluronic, polyacrylic acid, polymethyl meth acrylic acid, poly methyl acrylic acid, Poly(vinylamine) hydrochloride, Poly(L-lysine hydrobromide), Poly(allylamine), Poly(allylamine hydrochloride), Poly(4-aminostyrene), Poly(N-methylvinylamine),Poly(ethylene glycol) bis (2-aminoethyl),
  • the polymer is selected from polyethylenegylcol, polyethyleneimine, poly(N-isopropylacrylamide) (PNIPAM), polyoxazoline, polyvinylpyrrolidone) (PVPON), poly(2-alkyl-2-oxazoline)s, poly(2-methyl-2-oxazoline), poly(2-ethyl-2-oxazoline), pullulan, gellan gum, hyaluronic acid and mixtures thereof
  • the polymer is present in a concentration range of from 0.01 g/ml to 1.0 g/ml based on total volume of the hydrogel system, such as in the range of from 0.01 g/ml to 0.5 g/ml or in the range of from 0.1 g/ml to 0.5g/ml.
  • the resulting hydrogel system was centrifuged to remove the solvent from the hydrogel system.
  • a dental varnish composition comprising a hydrogel system and at least one fluoride source.
  • the dental varnish is water soluble.
  • the dental varnish disclosed herein does not include an organic solvent.
  • the hydrogel system includes at least one polyphenol having at least one phenol group; at least one polymer comprising a functional group capable of forming a hydrogen bond with said polyphenol, at least one polymer, and a metal ion source.
  • the hydrogel system is present in a concentration of from about 5 weight percent to about 95 weight percent based on a total weight of the composition; such as in the range of from about 7 weight percent to 75 weight percent or in the range of from about 10 weight percent to about 50 weight percent.
  • the fluoride source includes but are not limited to aluminum fluoride, indium fluoride, stannous fluoride, titanium fluoride, amine fluoride, sodium fluoride, hydro fluorosilicate, sodium fluorosilicate, potassium fluoride, disodium monofluorophosphate, acidulated phosphate fluoride, potassium fluoride, bismuth fluoride, zirconium tetrafluoride, sodium mono-fluorophosphate, hexafluorosilicic acid, difluorosilane, and mixtures thereof.
  • amine fluoride is selected from the group consisting of ⁇ ', ⁇ '-tri- (polyoxyethylene)-N-hexadecylpropylene diamine dihydrofluoride; 9- octadecylamine hydrofluoride, hexadecylamine hydrofluoride and bis-(hydroxyethyl)- aminopropyl-N-hydroxyethyloctadecylamine dihydrofluoride, olaflur, amine fluoride, and dectaflur.
  • the fluoride source includes a combination of stannous fluoride and sodium fluoride.
  • the fluoride source is present in a concentration of from about 0.01 weight percent to about 10 weight percent based on a total weight of the composition; such as in the range of from about 1 weight percent to about 8 weight percent or in the range of from about 2 weight percent to about 7 weight percent.
  • the dental varnish releases fluoride ions in a concentration ranging from 1000 ppm to 30,000 ppm.
  • the fluoride ion source may be in an amount such that it is capable of providing a high level of fluoride ion in the composition, that is at least about 1 ,000 ppm, and in some instances up to as much as 30,000 ppm, e.g., from about 7,000 ppm to about 27,000 ppm, from about 15,000 ppm to about 25,000 ppm, or about 22,000 or 23,000 ppm.
  • the exact weight percentage of the fluoride ion source in the composition may vary, depending upon the stoichiometric properties of different fluoride ion sources.
  • the dental varnish may further include at least one of a remineralization agent, a flavor additive, a thickening agent, a sweetener, an oxidant or a combination thereof.
  • remineralization agents include but are not limited to bioactive glass, calcium sucrose phosphate, xylitol, nano hydroxyapatite, casein phosphopeptide- -amorphous calcium phosphate (CPP-ACP), and calcium sodium phosposilicate.
  • Amount of remineralization agents in dental varnish typically comprises at least about 0.01 weight percent and is typically no greater than 50 weight percent, such as a range of remineralization agents being from 0.02 weight percent to 10 weight percent.
  • flavor additives include but are not limited to peppermint, watermelon, wintergreen, spearmint, cherry, citric acid, orange, strawberry, vanilla, coconut, bubble gum flavors and mixtures thereof.
  • Such flavoring additives may be in the dental varnish in amounts of from about 0.01 weight percent to about 5 weight percent, such as from about 0.1 weight percent to about 4 weight percent or from about 0.7 weight percent to about 3 weight percent.
  • a thickening agent examples include but are not limited to fumed silica, carboxyvinyl polymers, carrageenans, karaya, gum arabic and tragacanth, magnesium aluminum silicate in the dental varnish in amounts of from 0.1 weight percent to 10 weight percent based on a total weight of the composition, such as from 0.5 weight percent to 8 weight percent or from about 1 weight percent to about 5 weight percent.
  • sweetener examples include but are not limited to xylitol, sorbitol, sucralose, aspartame, sodium saccharin, and mixtures thereof. Such sweeteners may be in the dental varnish in amounts of from about 0.01 weight percent to about 2 weight percent, such as from about 0.05 weight percent to about 1.5 weight percent or from about 0.08 weight percent to about 1 weight percent.
  • an anti-oxidant examples include but are not limited to boric acid, ascorbic acid, borax, sodium tetra borate, 4,4'-Biphenyldiboronic acid, Benzene- ,4-diboronic acid, 2,5-thiophenediylbisboronic acid, sulfur dioxide, uric acid, tocopherol and mixtures thereof.
  • the oxide may be present in the dental varnish in amounts of from about 0 weight percent to about 2 weight percent, such as from about 0.01 weight percent to about 1 weight percent or from about 0.08 weight percent to about 1 weight percent.
  • the pH of the composition is in a range of from pH 1 to pH 8; such as in the range of from 2 to 6 or in the range of from 3 to 5.
  • the dental varnish of the present disclosure may be prepared in general by
  • the polyphenol may be present in the dental varnish in amounts of from about 0.01 mmole/ml to about 50 mmole/ml based on the total volume of the hydrogel system, such as from about 0.05 mmole/ml to about 25 mmole/ml or from about 0.10 mmole/ml to about 10 mmole/ml.
  • the antioxidant may be present in the dental varnish in amounts of from about 0.003 mmole/ml to about 20 mmole/ml based on the total volume of the hydrogel system, such as from about 0.015 mmole/ml to about 10 mmole/ml or from about 0.03 mmole/ml to about 3 mmole/ml.
  • the metal ion source may be present in the dental varnish in amounts of from about 0.005 mmole/ml to about 25 mmole/ml based on the total volume of the hydrogel system, such as from about 0.01 mmole/ml to about 5 mmole/ml or from about 0.05 mmole/ml to about 2 mmole/ml.
  • the polymer may be in the dental varnish in amounts of from about 0.001 mmole/ml to about 50 mmole/ml based on the total volume of the hydrogel system, such as from about 0.01 mmole/ml to about 10 mmole/ml or from about 0.010 m mole/ml to about 1.0 m mole/ml.
  • the fluoride source is added to the hydrogel system in amounts of from about 0.01 mmole/ml to about 5 mmole/ml based on the total volume of the hydrogel system, such as from about 0.005 mmole/ml to about 2.5 m mole/ml or from about 0.001 m mole/ml to about 1.0 m mole/ml.
  • the pyrogallol group on TA and GA has also strong affinity to Ca 2+ ions. This strong affinity may accelerate the HAp crystal formation in enamel and tubules by capturing salivary Ca 2+ ions.
  • the GA/ metal ion complex in the tubule resulted in the remineralization of HAp in the presence of saliva and densely packed HAp crystals with a high degree of regularity and homogeneity after immersion in artificial saliva for 7 days.
  • Relative concentration of PEG/TA/GA/metal ions, pH, end functional groups of the PEG, number of PEG arms, are factors which regulate adhesion and cohesive properties of hydrogel varnish.
  • the hydrogel system promoted increased adhesion of the varnish composition to a tooth surface.
  • the hydrogel system promoted in situ remineralization of a tooth surface.
  • the hydrogel system promoted occulsion of dentine tubule.
  • the combined system of TA/GA/PEG and TA/GA/metal ion complex may be a potent system which can be used to design a polymeric system of much faster reactivity with tunable cohesive and adhesive properties of the dental varnish.
  • the hydrogel based dental varnish described herein possesses many advantages such as lower cost, nontoxicity even after ingestion, ease of use, antioxidant, anti-mutagenic, anti-carcinogenic, and anti-bacterial properties.
  • TA/GA solution a solution containing tannic acid and gallic acid
  • Tannic acid (0-3. OOg) and gallic acid (0-7. OOg) were weighed and dissolved in about 15 ml of ethanol. After complete dissolution, about 35 ml_ deionized water, and (0-600mg) aluminum chloride (metal trivalent ion) and (0-500mg) boric acid were added to the solution.
  • the polyethylene glycol (PEG) 1000 to 10000 Da MWCO) was prepared in deionized water by dissolving about 3.00gm of PEG in about 50 mL deionized water.
  • the TA/GA solution and the PEG solution were exhaustively mixed, and the solvent was removed by centrifugation for about 5 min at about 2000 rpm to collect the hydrogel system.
  • Final color and adhesion property depends on relative ratio of gallic acid/tannic acid/PEG/aluminum chloride, pH, end functional groups of the PEG, number of PEG arms.
  • Fluoride release Prior to fluoride release, about 5% NaF by weight was mixed with TA-PEG (v1 ) to result in about 22600ppm fluoride, the fluoride release and total fluoride tests were performed.
  • Fluoride released from TA-PEG (V1 ) was relatively higher (19000 ppm) compare to fluoride release (12000 ppm) from conventional varnish.
  • Adhesion to bovine teeth Using the prepared formulation, adhesion test was performed on wet and dry bovine test. Then, varnish coated teeth were incubated in water for about two hours at about 37°C. Results showed a 45% adhesion on wet teeth and higher adhesion on dry teeth. Results are shown in Table 1 below: Table 1 : Adhesion test of Tannic acid/gallic acid/metal ion/PEG based hydrogel system on bovine teeth
  • pH titration was performed.
  • the pH was increased during the synthesis, but it did not form the hydrogel complex because of limited hydrogen bonding between PEG and Gallic acid/Tannic acid.
  • the pH was sequentially increased after the synthesis of varnish of different composition as described in the table and color observed.
  • Figure 4 clearly demonstrates that pH can be increased up to about 5-6 without significantly affecting the color of the varnish.
  • TA up to about 50 mg in the varnish also did not cause significant browning in the color at a pH 4-5.
  • Gallic acid (about 3 gm) was dissolved in about 15 mL ethanol and about 35 mL deionized water, and tannic acid (about 5 gm) with boric acid (about 500 mg) in about 50 mL deionized water.
  • polyethylene glycol (12000 Da, about 1.5 gm) and polyethylene glycol (20000 Da, about 1.5 gm) were dissolved in about 50 mL deionized water, and polyethylene glycol (100000 Da, about 3 gm) was dissolved in 50 mL deionized water.
  • about 9 mL PEG (12000, and 20000 Da) was mixed with about 1 mL PEG (100000 Da) solution.
  • Formulation (1) contained about 5 ml_ TA solution, about 50 mg AlC and formulation (2) contained about 10 mL TA solution and about 100 mg AlCb. Both of these formulations were tested for fluoride release and adhesion.
  • varnish was applied to wet bovine teeth and incubated in artificial saliva for about 2 hr at about 34 ° C. Then, teeth were stained with mustard containing turmeric powder.
  • each pair of specimens was then immersed into artificial saliva with mucin (about 10 ml) for about 5 minutes with constant mild agitation (about 130 rpm). After about 5 minutes, the specimens were placed into fresh artificial saliva.
  • mucin about 10 ml
  • constant mild agitation about 130 rpm
  • the specimens were placed into fresh artificial saliva.
  • the first about four hours of immersion artificial saliva was changed frequently. Then, again at about 15 and about 30 minutes and about 1 and about 4 hours, they were put into fresh artificial saliva with mucin. After the about 4 hour fresh saliva change, they stayed in the artificial saliva for about another 20 hours. They were in the artificial saliva for a total of about 24 hours.
  • any visible varnish was brushed or chipped off the surface of the sound specimens. No KOH immersion was done. All the specimens (sound and lesioned) were rinsed well with deionized water. One layer of enamel was then removed from each specimen (sound and lesioned) by immersion (separately) in about 0.5 ml of about .0 N HCIO4 for about 15-seconds.
  • Tannic acid and gallic acid strongly binds to various metal ions including calcium that could accelerate remineralization of teeth by hydroxyapatite formation via co-precipitation of calcium and phosphate ions from the mouth saliva.
  • Current varnish systems in the market do not have a feature of in situ biomimetic remineralization. Tannic acid/gallic acid/polymer/metal ions based hydrogel varnish system will not only have feature of rapid fluoride release and uptake but also promote in situ biomimetic remineralization by absorbing calcium from surrounding saliva. Hydrogel system formulation was prepared as described below.
  • TA/GA solution First solution containing tannic acid and gallic acid (TA/GA solution) was prepared. Tannic acid (4.00 gm) and gallic acid (7.0gm) were weighed and dissolved in 40 ml ethanol, and after complete dissolution, 60 mL deionized water and 300mg aluminum chloride (metal trivalent ion) were added in the solution. In separate container, prepare the mixture of polyethylene glycol (PEG) (4000 Da, 1.5 gm) and polyethylene glycol (PEG) (12000 Da, 1.5 gm) in 100 mL deionized water. Then, TA/GA solution and PEG solution exhaustively mixed, solvent removed by centrifugation at 3000rpm for 5min and precipitate was collected, and used for calcium absorption experiment.
  • PEG polyethylene glycol
  • PEG polyethylene glycol
  • hydrogel system formulation was applied on glass slide and hydrogel system formulation applied glass slides were incubated in 25mM calcium chloride solution for 30min. And, as a control, hydrogel system formulation applied glass slides were incubated in Dl water for 30min.
  • hydrogel system formulation applied glass slide was transparent, however hydrogel system formulation applied glass slide became whitish in color upon incubating the glass slide in deionized water containing 25mM CaC which clearly indicated the absorption of CaCte by the hydrogel system formulation dipped in CaCb solution (FIG. 7).
  • Bovine teeth were used to test occlusion of dentinal tubule using scanning electron microscopy. Samples were prepared according to the procedure using deionized water to condition the treated specimens. There test dentin substrate were prepared and stored at 5°C in a thymol solution. Substrates were examined using an optical microscope at 200x to confirm that tubule were visible and suitable for use.
  • the prepared bovine teeth samples were removed from deionized water and rinsed with fresh deionized water. Excess water was blotted from the sample surface. A thin layer of varnish was applied to the test side of the tooth while the tooth was still moist. This was done with an applicator brush. Treated samples were allowed to stand for 1 minute and then half of the samples were washed for 10 seconds using tap water at moderate flow to remove varnish that was not adhered to samples. After the varnish applications, the sample was placed in artificial saliva from two hours at room temperature without any agitation of artificial saliva.
  • samples were removed, rinsed gently using deionized water and allowed to air dry for a minimum of 2 hours to remove gross water. The samples were then placed in a 50°C oven overnight to dry. The dry samples were coated with evaporated carbon and viewed under the scanning electron microscope (SEM) comparing control and treated sides.
  • SEM scanning electron microscope
  • Tannic Acid/Gallic acid being naturally occurring water soluble phenol-rich polymer contains sugar esters, mainly glucose, and phenol carboxylic acid, such as Gallic acid, hexahydroxydipenic acid.
  • phenol carboxylic acid such as Gallic acid, hexahydroxydipenic acid.
  • Tannic Acid/Gallic acid has antimicrobial and bactericidal activity and also demonstrated inhibition of biofilm production and accumulation by both various Gram-positive and Gram-negative bacteria such as Escherichia coli, Listeria monocytogenes, oral bacteria like Staphylococcus aureus, Streptococcus mutans.
  • Hertel er a/ (Caries Res. 2017, 51 , p: 34-45) have studied the effect of tannic acid on the protective properties of in situ formed Pellicle. Tannic acid significantly improved the erosion- protective properties of the pellicle in a pH-dependent manner. Bacterial adherence and glucan formation on enamel were also significantly reduced after rinses with t
  • Hydroxy groups on the catechol and pyrogallol of tannic acid/ gallic acid are possibly related to their relative toxicity to microorganisms, and are able to penetrate and interact with lipid bilayers and causing the leakage of intramembranous materials and aggregation. They interact with bacterial proteins and cell wall structures, they may cause damage to cytoplasmic membranes, reduce membrane fluidity, inhibit nucleic acid synthesis, cell wall synthesis, or energy metabolism. Besides their destructive activity on bacteria, also "softer" activities leading to biofilm suppression by affecting the bacterial regulatory mechanisms such as quorum sensing or other global regulator systems are known.
  • hydrogel system based varnish may demonstrate antibacterial activity and lead to inhibition of dental plaques biofilm and accumulation by various gram- positive and gram-negative bacteria.
  • the following example serves to provide Bactericidal and biofilm inhibition properties of Tannic acid/Gallic acid based hydrogel varnish to be verified against widely used simple model bacteria E Coli.

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Abstract

L'invention concerne des compositions de traitement dentaire, notamment, une composition de vernis dentaire utile pour une fluoration efficace, l'amélioration de la reminéralisation de l'émail dentaire et l'hypersensibilité par occlusion du tubule dentinaire. La composition de vernis dentaire comprend un système d'hydrogel et au moins une source de fluorure, où le vernis dentaire est hydrosoluble. Le système d'hydrogel comprend au moins un polyphénol ayant au moins un groupe phénol, au moins un polymère et un ion métallique. Des procédés de préparation de ladite composition de vernis dentaire sont en outre décrits.
EP18721522.3A 2017-03-29 2018-03-29 Système d'hydrogel à base de polyphénols/peg pour vernis dentaire Active EP3600220B1 (fr)

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KR20210092240A (ko) * 2018-11-19 2021-07-23 쓰리엠 이노베이티브 프로퍼티즈 컴파니 이온 교환 코팅을 갖는 치과용 기구
KR20210127107A (ko) * 2020-04-13 2021-10-21 주식회사 엘지화학 고흡수성 수지 및 이의 제조 방법
CN111643721A (zh) * 2020-06-24 2020-09-11 四川大学华西医院 一种搭载环孢素a的烧伤创面愈合用水凝胶及其制备方法
KR102620831B1 (ko) * 2021-03-12 2024-01-03 성균관대학교 산학협력단 에피갈로카테킨 갈레이트 및 폴리에틸렌글리콜을 포함하는 접착제 조성물
CN113817326A (zh) * 2021-07-01 2021-12-21 广东省科学院健康医学研究所 一种多功能儿茶酚水凝胶敷料及其制备方法和应用
CN113679617B (zh) * 2021-08-24 2024-01-09 浙江大学 基于双键功能化阳离子聚合物及其金属络合物的牙科粘接预处理剂及其使用方法
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US20230346664A1 (en) * 2022-04-28 2023-11-02 L'oreal Compositions suitable as setters
FR3134979A1 (fr) * 2022-04-28 2023-11-03 L'oreal Composition comprenant un polyphénol, un composé polyoxyéthyléné réagissant avec le polyphénol par liaison hydrogène, un mono-alcool et un polymère filmogène hydrodispersible sans monomère styrènique
FR3134971A1 (fr) * 2022-04-28 2023-11-03 L'oreal Composition de maquillage comprenant un polyphénol, un composé hydrocarboné ou siliconé polyoxyéthyléné et/ou polyoxypropyléné, différent des Polysorbate, un monoalcool et procédé la mettant en œuvre
US20230346681A1 (en) * 2022-04-28 2023-11-02 L'oreal Compositions comprising a polyphenol and a glycerolated compound
FR3134983A1 (fr) * 2022-04-28 2023-11-03 L'oreal Composition avec un polyphénol, une dispersion aqueuse de cire, un tensioactif non-ionique de HLB supérieure ou égale à 8 et un oxyde de fer non enrobé
WO2023208807A1 (fr) * 2022-04-28 2023-11-02 L'oreal Composition de maquillage comprenant un polyphénol, un composé hydrocarboné polyoxyalkyléné et un monoalcool, et procédés faisant appel à celle-ci
FR3134976A1 (fr) * 2022-04-28 2023-11-03 L'oreal Procédé de maquillage à partir d’un polyphénol et au moins deux composés polyoxyéthylénés et/ou polyoxypropylénés, compositions pour la mise en œuvre du procédé
CN114957728B (zh) * 2022-06-29 2023-07-04 陕西科技大学 一种双网络胶原蛋白基超分子水凝胶及其制备方法
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CN117598908A (zh) * 2023-11-22 2024-02-27 四川大学 自组装水凝胶在封堵过敏性牙本质小管中的用途
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